CN102038547B - Appliance for being implanted into sternoclavicular hook bone plate - Google Patents
Appliance for being implanted into sternoclavicular hook bone plate Download PDFInfo
- Publication number
- CN102038547B CN102038547B CN201110007940XA CN201110007940A CN102038547B CN 102038547 B CN102038547 B CN 102038547B CN 201110007940X A CN201110007940X A CN 201110007940XA CN 201110007940 A CN201110007940 A CN 201110007940A CN 102038547 B CN102038547 B CN 102038547B
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- Prior art keywords
- cutting ferrule
- handle
- tool bar
- hole
- revolves
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- 210000000988 bone and bone Anatomy 0.000 title abstract description 3
- 238000005553 drilling Methods 0.000 claims abstract description 12
- 210000000481 breast Anatomy 0.000 claims description 20
- 239000007943 implant Substances 0.000 claims description 9
- 239000011148 porous material Substances 0.000 claims description 3
- 210000001898 sternoclavicular joint Anatomy 0.000 abstract description 13
- 206010061213 Iatrogenic injury Diseases 0.000 abstract description 4
- 206010009245 Clavicle fracture Diseases 0.000 abstract 1
- 238000000034 method Methods 0.000 description 5
- 210000003109 clavicle Anatomy 0.000 description 4
- 208000006735 Periostitis Diseases 0.000 description 3
- 210000003460 periosteum Anatomy 0.000 description 3
- 210000003041 ligament Anatomy 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 210000001364 upper extremity Anatomy 0.000 description 2
- 229910000831 Steel Inorganic materials 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000003195 fascia Anatomy 0.000 description 1
- 230000001771 impaired effect Effects 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 210000000281 joint capsule Anatomy 0.000 description 1
- 238000011017 operating method Methods 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 210000000062 pectoralis major Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 239000010959 steel Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
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- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to an appliance for being implanted into a sternoclavicular hook bone plate, which is used for treating anterior and posterior dislocation of a sternoclavicular joint or the anterior and posterior dislocation associated with proximal fracture of clavicle. The appliance comprises a drilling guide device for drilling positioning on a presternum, a thread drawing guide device for threading on the presternum after drilling and a guide rotary tool, wherein the drilling guide device comprises a handle 1, a guide sleeve and a clamping sleeve 1, the clamping sleeve 1 is in the shape of C, the guide sleeve is fixed on an upper plate of the clamping sleeve 1, and a positioning groove is arranged on the inner side of a lower plate of the clamping sleeve 1; the thread drawing guide device comprises a handle 2 and a clamping sleeve 2, the clamping sleeve 2 is in the shape of C, a circular hole with an open slot is arranged on the upper plate of the clamping sleeve 2, and a screw is arranged on the inner side of the clamping sleeve 2; and the guide rotary tool comprises a cross nut, a rotary tool rod, a thread and a ball, a rotary tool handle is arranged at the tail part of the rotary tool rod, the thread penetrates a through hole on the rotary tool rod, one end of the thread is connected with the cross nut, and the other end of the thread is connected with the ball. The appliance has the characteristics of small iatrogenic injuries, short operation time and safety, and can reduce the suffering of a patient.
Description
Technical field
The present invention relates to the orthopedic medical device technical field, the dislocation of dislocation or front and back merges the apparatus that is used to implant breast latch hook blade plate that the clavicle fractured near end uses before and after particularly a kind of orthopaedics therapy sternoclavicular joint.
Background technology
In the orthopaedics, the expectant treatment dislocation of sternoclavicular joint is generally taked in dislocation before and after the sternoclavicular joint, and majority can manual reduction, but hold reset is difficult.The method of traditional treatment dislocation of sternoclavicular joint is to adopt internal fixations such as steel wire, tension band or Kirschner wire; Adopt the method for traditional treatment dislocation of sternoclavicular joint to have following weak point: (1) internal fixation rear stability is poor, and the loosening withdraw of the needle of Kirschner wire and the sternoclavicular joint situation of dislocating again appears in postoperative; (2) Kirschner wire penetrates to penetrate and injures blood vessel.The existing weak point of method to traditional treatment dislocation of sternoclavicular joint; Be to adopt breast latch hook blade plate internal fixation to be used for treating dislocation of sternoclavicular joint at present; Its mesothorax latch hook blade plate adopts titanium to process; Adopt breast latch hook blade plate internal fixation to have following advantage: (1) meets the anatomic characteristic of sternoclavicular joint, the little protuberance that can not cause joint portion of breast latch hook blade plate capacity, thus do not affect the appearance; (2) the fixed ligament repair that is beneficial to, breast latch hook blade plate adopt the fixing back of cancellous bone screw firm, and a stable environment is provided, and help impaired capsula articularis sternoclavicularis and the repair and reconstruction of ligament on every side.Breast latch hook blade plate frequently appears on the clinical treatment at present; Dislocate in the sternoclavicular joint front and back or the operating theater instruments of front and back dislocation merging clavicle fractured near end mainly has been to use the upper limb apparatus but be used to clinically so far treat; Do not supply to implant the special-purpose operating theater instruments of breast latch hook blade plate, thereby in breast latch hook blade plate implantation process, only allow its anatomy to feel to accomplish inconvenient operation; Be difficult to Rapid Realization and implant blade plate; Have the probability of iatrogenic injury, operating time is long, and patient will bear bigger misery.
Summary of the invention
Task of the present invention provides a kind of easy to use and can guarantee to receive the apparatus that is used to implant breast latch hook blade plate of better surgical effect; So that reduce iatrogenic injury as far as possible; Shorten operating time, alleviate the misery that patient institute will bear, make operation fast, completion safely.
The technical scheme that the present invention adopts is accomplished through following mode: a kind of apparatus that is used to implant breast latch hook blade plate of the present invention comprises being used at the localized drilling director of boring on the presternum, being used on the presternum after the boring backguy guider and the guiding of threading and revolving tool.
Described drilling director comprises handle one, guide pin bushing and cutting ferrule one; Cutting ferrule one is c-shaped; Guide pin bushing is tubular, and guide pin bushing is fixed on the upper plate of cutting ferrule one, and handle one is fixed on the guide pin bushing; One circular detent is arranged in the lower plate inboard of cutting ferrule one, and the center of circle of detent is positioned on the axis of pore of guide pin bushing.
Described backguy guider comprises handle two and cutting ferrule two; Cutting ferrule two is c-shaped; Handle two is fixed on the end of cutting ferrule two upper plates; On cutting ferrule two upper plates, be provided with the circular hole of band open slot, be provided with screw in cutting ferrule two lower plate inboards, the center of circle of the circular hole of the band open slot on cutting ferrule two upper plates is positioned on the axis of screw.
Described guiding is revolved tool and is comprised the cross nut, revolves tool bar, line and pearl, and revolving on the tool bar central axis has a through hole, and the head that revolves the tool bar is provided with criss-cross mouthful that matches with the cross nut; The afterbody that revolves the tool bar is provided with screw handle, is being provided with on the screw handle and is revolving the hole that the through hole on the tool bar connects, and line passes the through hole that revolves on the tool bar; One end and the cross nut of line join; The other end and the pearl of line are joined, and wherein, the cross nut is positioned at the head that revolves the tool bar; Pearl is positioned at the afterbody that revolves the tool bar, and the diameter of pearl is greater than the diameter in the hole on the screw handle.
During operation, can revolve tool through guiding and the cross nut screwed in easily on the screw of backguy guider; Because line two is respectively equipped with cross nut and pearl, skid off so line can not revolve revolving in the through hole on the tool bar of tool from guiding, the while also with guiding revolve tool revolve the tool bar and the cross nut organically is connected as a single entity; After the cross nut screws off from the screw of backguy guider, can take out from the cutting ferrule two of backguy guider; Cross nut and breast latch hook blade plate join, and the other end of draught line is introduced in the presternal hole end of breast latch hook blade plate.
It is little that the present invention has an iatrogenic injury, and operating time is short, safety, can alleviate the characteristics of less patient suffering.
Description of drawings
Fig. 1 is the structural representation of drilling director of the present invention.
Fig. 2 is the structural representation of backguy guider of the present invention.
Fig. 3 is the vertical view of Fig. 2.
Fig. 4 revolves the structural representation of tool for guiding of the present invention.
Fig. 5 is the view after the presternum boring.
Fig. 6 revolves the view after tool inserts for guiding.
Fig. 7 is presternal view for line passes.
Fig. 8 passes the preceding view of presternum for breast latch hook blade plate.
Fig. 9 is the view that breast latch hook blade plate is implanted.
The instantiation mode
Contrast accompanying drawing below, the apparatus that is used to implant breast latch hook blade plate of the present invention is further described through embodiment.
With reference to accompanying drawing 1 to accompanying drawing 4, a kind of the present invention is used to implant the apparatus of breast latch hook blade plate, comprises being used at the localized drilling director of boring on the presternum, being used on the presternum after the boring backguy guider and the guiding of threading and revolving tool.
Described drilling director comprises handle 1, guide pin bushing 2 and cutting ferrule 1; Cutting ferrule 1 is c-shaped; Guide pin bushing 2 is tubular, and guide pin bushing 2 is fixed on the upper plate of cutting ferrule 1, and handle 1 is fixed on the guide pin bushing 2; One circular detent 301 is arranged in the lower plate inboard of cutting ferrule 1, and the center of circle of detent 301 is positioned on the axis of pore 201 of guide pin bushing 2.
Described backguy guider comprises handle 24 and cutting ferrule 26; Cutting ferrule 26 is c-shaped; Handle 24 is fixed on the end of cutting ferrule 26 upper plates; On cutting ferrule 26 upper plates, be provided with the circular hole 5 of band open slot, be provided with screw 7 in cutting ferrule 26 lower plate inboards, the center of circle of the circular hole 5 of the band open slot on cutting ferrule 26 upper plates is positioned on the axis of screw 7.
Described guiding revolves that tool comprises cross nut 8, revolves tool bar 9, line 10 and pearl 11, and revolving has a through hole 901 on tool bar 9 central axis, and the head that revolves tool bar 9 is provided with criss-cross mouthful that matches with cross nut 8; The afterbody that revolves tool bar 9 is provided with screw handle 902, is being provided with on the screw handle 902 and is revolving the hole 903 that the through hole 901 on the tool bar 9 connects, and line 10 passes the through hole 901 that revolves on the tool bar 9; One end and the cross nut 8 of line 10 join; The other end of line 10 and pearl 11 are joined, and wherein, cross nut 8 is positioned at the head that revolves tool bar 9; Pearl 11 is positioned at the afterbody that revolves tool bar 9, and the diameter of pearl 11 is greater than the diameter in the hole on the screw handle 902 903.
With reference to accompanying drawing 5 to accompanying drawing 9; When the dislocation of dislocation or front and back merges the operation of clavicle fractured near end before and after carrying out the orthopaedics therapy sternoclavicular joint; Operating procedure is following: (1) is that otch is carried out at the center with the sternoclavicular joint, to the arc of clavicle 13 and each the do prolongation of presternum 12 both sides; Cut fascia and periosteum, peel off as subperiosteum at sternocleidomastoid and pectoralis major starting point place, and retract, peel off presternum 12 upper limbs (jugular notch place) periosteum, expose presternum 12 with periosteum stripping to both sides; (2) adopt drilling director on presternum 12, to hole, revolve tool through guiding cross nut 8 is screwed on the screw 7 of backguy guider; (3) withdraw from guiding and revolve tool, the backguy guider leaves presternum 12; (4) can take out from the cutting ferrule 26 of backguy guider after cross nut 8 screws off from the screw 7 of backguy guider; (5) cross nut 8 joins with breast latch hook blade plate 14, and the other end of draught line 10 is introduced in the hole of presternum 12 end of breast latch hook blade plate 14.
Claims (1)
1. apparatus that is used to implant breast latch hook blade plate is characterized in that this apparatus comprises to be used at the localized drilling director of boring on the presternum, to be used on the presternum after the boring backguy guider and the guiding of threading and to revolve tool, wherein:
Described drilling director comprises handle one, guide pin bushing and cutting ferrule one; Cutting ferrule one is c-shaped; Guide pin bushing is tubular, and guide pin bushing is fixed on the upper plate of cutting ferrule one, and handle one is fixed on the guide pin bushing; One circular detent is arranged in the lower plate inboard of cutting ferrule one, and the center of circle of detent is positioned on the axis of pore of guide pin bushing;
Described backguy guider comprises handle two and cutting ferrule two; Cutting ferrule two is c-shaped; Handle two is fixed on the end of cutting ferrule two upper plates; On cutting ferrule two upper plates, be provided with the circular hole of band open slot, be provided with screw in cutting ferrule two lower plate inboards, the center of circle of the circular hole of the band open slot on cutting ferrule two upper plates is positioned on the axis of screw;
Described guiding is revolved tool and is comprised the cross nut, revolves tool bar, line and pearl, and revolving on the tool bar central axis has a through hole, and the head that revolves the tool bar is provided with criss-cross mouthful that matches with the cross nut; The afterbody that revolves the tool bar is provided with screw handle; Be provided with on the screw handle and revolving the hole that the through hole on the tool bar connects, line passes the through hole that revolves on the tool bar, and an end and the cross nut of line join; The other end and the pearl of line are joined; The cross nut is positioned at the head that revolves the tool bar, and pearl is positioned at the afterbody that revolves the tool bar, and the diameter of pearl is greater than the diameter in the hole on the screw handle.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201110007940XA CN102038547B (en) | 2011-01-14 | 2011-01-14 | Appliance for being implanted into sternoclavicular hook bone plate |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201110007940XA CN102038547B (en) | 2011-01-14 | 2011-01-14 | Appliance for being implanted into sternoclavicular hook bone plate |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102038547A CN102038547A (en) | 2011-05-04 |
| CN102038547B true CN102038547B (en) | 2012-03-07 |
Family
ID=43905328
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201110007940XA Active CN102038547B (en) | 2011-01-14 | 2011-01-14 | Appliance for being implanted into sternoclavicular hook bone plate |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN102038547B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10010358B2 (en) | 2015-12-31 | 2018-07-03 | Lie Lin | Internal fixation plate for sternoclavicular joint |
Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105310755A (en) * | 2015-05-26 | 2016-02-10 | 闻泰医疗科技（上海）有限公司 | Shoulder joint scapula glenoid bone positioning device |
| CN110313971B (en) * | 2018-03-29 | 2024-05-07 | 林克骨科（中国）有限公司 | Guiding type angle drill |
| CN116747001B (en) * | 2023-06-07 | 2023-12-15 | 江苏省苏北人民医院 | Positioning, drilling and threading integrated guide for coracoid process and use method |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101028208A (en) * | 2006-02-27 | 2007-09-05 | 浙江科惠医疗器械有限公司 | Sternoclavicular hamulus steel plate for treating articulatio sternoclavicularis fracture dearticulation |
| CN101695456A (en) * | 2009-10-16 | 2010-04-21 | 张英泽 | Fork-shaped bone fracture plate for treating dislocation of sternoclavicular joint |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8162997B2 (en) * | 2007-11-05 | 2012-04-24 | Steven Struhl | Device for treatment of acromioclavicular joint dislocations |
-
2011
- 2011-01-14 CN CN201110007940XA patent/CN102038547B/en active Active
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101028208A (en) * | 2006-02-27 | 2007-09-05 | 浙江科惠医疗器械有限公司 | Sternoclavicular hamulus steel plate for treating articulatio sternoclavicularis fracture dearticulation |
| CN101695456A (en) * | 2009-10-16 | 2010-04-21 | 张英泽 | Fork-shaped bone fracture plate for treating dislocation of sternoclavicular joint |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10010358B2 (en) | 2015-12-31 | 2018-07-03 | Lie Lin | Internal fixation plate for sternoclavicular joint |
Also Published As
| Publication number | Publication date |
|---|---|
| CN102038547A (en) | 2011-05-04 |
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| Date | Code | Title | Description |
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| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| C56 | Change in the name or address of the patentee |
Owner name: ZHEJIANG CANWELL MEDICAL CO., LTD. Free format text: FORMER NAME: KEHUI MEDICAL EQUIPMENT CO., LTD., ZHEJIANG |
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| CP01 | Change in the name or title of a patent holder |
Address after: 321016 Zhejiang Province, Jinhua city Wucheng District Xianghua Street No. 466 Patentee after: CANWELL MEDICAL Co.,Ltd. Address before: 321016 Zhejiang Province, Jinhua city Wucheng District Xianghua Street No. 466 Patentee before: ZHEJIANG CANWELL MEDICAL Co.,Ltd. |
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| PE01 | Entry into force of the registration of the contract for pledge of patent right |
Denomination of invention: Appliance for being implanted into sternoclavicular hook bone plate Effective date of registration: 20171130 Granted publication date: 20120307 Pledgee: Bank of China Limited by Share Ltd. Jindong branch Jinhua City Branch Pledgor: CANWELL MEDICAL Co.,Ltd. Registration number: 2017990001103 |
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| PC01 | Cancellation of the registration of the contract for pledge of patent right |
Date of cancellation: 20201123 Granted publication date: 20120307 Pledgee: Bank of China Limited by Share Ltd. Jindong branch Jinhua City Branch Pledgor: CANWELL MEDICAL Co.,Ltd. Registration number: 2017990001103 |
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| PC01 | Cancellation of the registration of the contract for pledge of patent right | ||
| PE01 | Entry into force of the registration of the contract for pledge of patent right |
Denomination of invention: Instrument for implantation of sternoclavicular hook plate Effective date of registration: 20221205 Granted publication date: 20120307 Pledgee: Industrial and Commercial Bank of China Limited Jinhua Branch Pledgor: CANWELL MEDICAL Co.,Ltd. Registration number: Y2022330003493 |
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| PE01 | Entry into force of the registration of the contract for pledge of patent right | ||
| PC01 | Cancellation of the registration of the contract for pledge of patent right |
Date of cancellation: 20231205 Granted publication date: 20120307 Pledgee: Industrial and Commercial Bank of China Limited Jinhua Branch Pledgor: CANWELL MEDICAL Co.,Ltd. Registration number: Y2022330003493 |
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| PC01 | Cancellation of the registration of the contract for pledge of patent right |